Pain Research and Management / 2016 / Article / Tab 7

Research Article

Results from 10 Years of a CBT Pain Self-Management Outpatient Program for Complex Chronic Conditions

Table 7

Description of the Bridgepoint Pain Management Group program by session number.

Session numberSession agendaHomework

1Introduction
Set individual program goals
Questionnaires
Relaxation: theory & practice
Qi Gong
(i) Program goals
(ii) Relaxation exercise daily

2Review individual program goals
Right & left brain function
Complete questionnaires
Pain diary
Hydrotherapy or gym
(i) Relaxation exercise daily
(ii) 3 min breathing exercise
(iii) Pain diary

3Review goals & pain diaries
Definitions of pain
Physiology of pain
Pain theories
Exercise: assess negative thoughts
Qi Gong
(i) Assess negative thoughts

4Review use of relaxation & breathing
Introduction to collage
Dynamic imagery
Relaxation: practice
Hydrotherapy or gym
(i) Relaxation exercise daily
(ii) Imagery exercise 4x a day

5Review coping exercise
Video: accepting the pain, discussion
Discovering the “silver lining”
Intro to cognitive behavioural approach
Negative self-talk
Flare-up plan
Qi Gong
(i) Positive experiences

6Imagery as a pain management technique
Relaxation: practice
Hydrotherapy or gym
(i) Relaxation tapes daily
(ii) Draw pain picture

7Review positive experiences
Demonstration of cognitive model
Practical application of the model (group work on self-talk)
Qi Gong
(i) Self-talk exercise

8Development of individual pain imagery
Relaxation: practice
Hydrotherapy or gym
(i) Relaxation exercise daily
(ii) Practice pain imagery

9Stress and its relationship with pain
Group work: self-talk exercises
Qi Gong
(i) Self-talk exercise

10Sexuality & pain: guest speaker: sex therapist Further work on pain imagery
Relaxation: practice
Hydrotherapy or gym
(i) Relaxation exercise daily
(ii) Practice pain imagery
(iii) Review program goals

11Review program goals
Role of medications in chronic pain
Stress video
Group work: self-talk exercises
Qi Gong
(i) Reducing stress
(ii) Prepare for collage to be completed in Session 12

12Collage exercise: group reporting
Medications (cont’d)
Further work on pain imagery
Relaxation: practice
Hydrotherapy or gym
(i) Relaxation exercise daily
(ii) Practice pain imagery

13Guest speaker: former group member
Strategies for improved sleep quality
Review collage exercise
Qi Gong
(i) Sleep strategies
(ii) Self-talk exercise
(iii) Reducing stress

14Energy conservation (OT, Sandy Duncan)
Further work on pain imagery
Relaxation: practice
Hydrotherapy or gym
(i) Relaxation & imagery
(ii) Anger styles

15Therapeutic benefits of humour (video)
Anger management
Review sleep strategies
Discussion: self-talk/stressful situations
Qi Gong
(i) Humour exercise
(ii) Anger exercise

16Review exercise: anger episode analysis
Review humour exercise
Planning for family session1
Relaxation: practice
Hydrotherapy or gym
(i) Continue use of humour
(ii) Relaxation & imagery

17Family session1
Qi Gong
(i) Review/complete cognitive exercises

18Review of family session
Nutrition and pain (nursing)
Introduction to mindfulness meditation
Hydrotherapy or gym
(i) Relaxation: practice

19Discussion of community resources
ACPA video “getting involved”
Final review cognitive strategies
Discussion of other related pain topics
Qi Gong
(i) Review initial goals
(ii) Prepare future goals

20Review individual goals/set future goals
Program evaluation
Graduation: congratulations!
Book follow-up session
Hydrotherapy or gym
(i) Apply strategies learned in 10-week program

Note. Group discussion sessions are 2 hours in length, followed by group exercise for 30–60 minutes.
During the program, one session is arranged for family members and friends of participants to attend in order to learn about chronic pain and how to support their loved ones. This is typically held on Session 17, but it could be moved to a different session if that would allow more people to attend.

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